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With healthcare reform (http://www.fiercehealthcare.com/story/fierce-reflects-anniversary-healthcare-reform-ruling/2013-06-27) and new payment models (http://www.fiercehealthpayer.com/story/will-new-payment-model-drive-small-hospitals-financial-ruin/2013-06-28) drastically changing the care delivery system, collaboration between payers and providers is essential for success. That was the message shared in a session Wednesday at the World Congress 9th Annual Leadership Summit on Medicare in Washington, D.C.
"Regardless of whether it's Medicare, Medicaid or commercial insurance, we have to play to each other's strengths," said Eric J. Berman, D.O., regional chief medical officer at health plan AmeriHealth Caritas Pennsylvania.
Providers' strengths include acute care delivery, specialty care and technology. Payers' strengths consist of managing risk, population management, and...